My fiance has scars on her forehead after an accident. Is it possible to remove the scars completely? Are scars are permanent?
Doctor Answers 3
Raffy Karamanoukian MD FACS
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Scars can typically be improved, not removed
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Traumatic Scars & Surgical Scars Can Be Improved By Fractional Medical Microneedling Scarabrasion
Without a photo it is difficult to comment more specifically. However, in general, the suture tracks and line-like scars left after surgical repair of traumatic wounds of the forehead (and elsewhere) can be improved by the subsequent dermabrasion of the wound, a process known as scarabrasion.
For more than the past quarter of a century scarabrasion consisted of traditional motorized dermabrasion of the scar or of manual dermasanding with sterilized sanding paper. More recently, I have been using fractional microneedle therapy (aka dermal rolling, skin needling) for this purpose. The latter engenders little downtime and can be easily repeated if necessary to achieve gratifying improvement. For more information on fractional medical microneedle therapy, I suggest checking out the archives of Realself.com.
Ideally, scarabrasion should be performed on young scars, i.e. those less than three months old, as treatment of these within the critical 8-12 week interval can sometimes lead to almost complete obliteration of the scar.
I recently had to do this for three separate traumatic wounds that were surgically repaired on my wife's forehead. The treatment was performed ten weeks following the injuries and their emergent repair and resulted in excellent aesthetic improvement.
Consultation with a board certified core physician with expertise and experience in scar revision is a must.
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